Lungs And Pleura Flashcards
Pulmonary ligament
Anterior to the esophagus
It’s double layered
Inferior to the root
Mediastinal pleura
Covers the lateral side of the mediastinum
Continues with the cervical pleural, costal pleural(anterior) , diaphragmatic ( inferior)
Cervical pleura
Covers the apex of the lung
Extends into the root of the neck ( 3-4cm above the level of the costal cartilage, up to the level of the 1st rib)
Summit( 2-3 cm above the medial third of clavicle)
Supra pleural membrane is also known as
Sibson fascia
Supra pleural fascia
Fibrous thickening, c7 transverse process to internal border of first rib
Diaphragmatic pleura
Covers the superior surface of the diaphragm
Phrenicopleural fascia
Continuous with endothoracic and connects with the diaphragm with the diaphragmatic pleurae.
Pleural lines
Sternoclavicular joint to behind the sternal. Right and left descend in contact with each other to the 4 th costal cartilage
Right side of the pleural lines
Passes down to the xiphisternal joint
Left side pleura line
Line diverges laterally from the lateral margin of the sternum to 6th costal cartilage.
Pleural reflection
These are the relatively abrupt lines along whic the parietal pleura folds back or changes direction from one wall of the pleural cavity or another
Sternal line of reflection
This is where the costal pleural is continuous with the mediastinal pleura, posterior to the sternum .
Costal line of reflection
Continues obliquely to the 8th rib in the midclavicular line, 10th rib in midaxillary.
It crosses the 12th rib to the level of t12 vertebral spines. The para vertebral plane.
The pleural recess
During the inspiration, the lungs fill the pleural cavity, but during respiration, the lungs do not fill these part so the cavity.
Costomediastinal recess
Behind the sternum and costal cartilages, anterior margin of the lung fails to reach the anterior margin of the pleura.
Costodiaphragmatic
Between the costal and diaphragmatic pleurae. They are slit like intervals btw the costal and diaphragmatic pleurae on each side.
Why is the left recess larger
Because of the presence of a semicircular deficiency, the cardiac notch, in the left lung anterior to the pericardium
Arterial supply and venous drainage of parietal
Internal thoracic, intercostal, musculophenric
Cervical pleura is supplied by ?
Branches of subclavian
Arterial supply of visceral pleural
Bronchial artery
Venous drainage of visceral pleurae
Pulmonary vein
Development of parietal pleurae
Somatopleural layer
Development of visceral pleurae
Splanchopleural
Nerve supply of parietal
Intercostal (costal and peripheral diaphragmatic )
Phrenic ( mediastinal and central diaphragmatic
Visceral nerve supply
Autonomic and para sympathetic ( t2-t5 and vagus)
Lymphatic drainage of parietal
Intercostal, parasternal, mediastetnal
Lymphatic of visceral
Bronchopulmonary